Achilleon Diving Center

Paperwork for preparing your stay

In order to prepare your stay,
you have these two documents to fill in and submit :

  • Information sheet
  • Emergency Contact (Someone who is not diving with you)
  • Medical questionnaire

All three forms are mandatory

Information Sheet

Diving certification level

Choose FilesNo file chosenAccepted file types: jpg, jpeg, jpe, gif, png, webp. Max. file size: 1 MB

Do you want to upload your diving certification cards ? Don't forget to bring your diving certification cards

Insurance to take with the dive centre ?

Do you want to upload your insurance certificate?

Choose FilesNo file chosenAccepted file types: jpg, jpeg, jpe, gif, png, webp. Max. file size: 1 MB

Do you want to upload your medical certificate (less than one year old) ? Don't forget to bring your medical certificate of less than one year old.

Choose FilesNo file chosenAccepted file types: jpg, jpeg, jpe, gif, png, webp. Max. file size: 1 MB


Emergency contact

(Someone who is not diving with you)

Authorisation for pictures

I give Achilleon Diving Center permission to publish the videos and/or photographs you have taken of me on their social networks or website.

Authorisation for pictures

Privacy Policy

This information is for the strict purpose of: create a customer file within the framework of the Greek legislation.

We use your email addresses only to send you our newsletter and Tripadvisor notification.

We remind you that you can unsubscribe at any time by sending an email to divingcorfu@yahoo.gr

Do you want to be part of the newsletter?

Cancellation

Any cancellation from your side within the previous 24h, except if you have a good justification (medical issues or disease, for example), the morning of 2 dives will be charged.

Signature of the participant (or, if a minor, participant's parent/guardian signature required) - Please press save before you submit the form SaveClear

7 + 12 =

Diver medical participant questionnaire

This document "Diver medical participant questionnaire"
must be accompanied by the document "Certified Divers Information Sheet".

Mandatory to read

Recreational scuba diving and freediving requires good physical and mental health. There are a few medical conditions which can be hazardous while diving, listed below.

Those who have, or are predisposed to, any of these conditions, should be evaluated by a physician. This Diver Medical Participant Questionnaire provides a basis to determine if you should seek out that evaluation.

If you have any concerns about your diving fitness not represented on this form, consult with your physician before diving.

If you are feeling ill, avoid diving. If you think you may have a contagious disease, protect yourself and others by not participating in dive training and/ or dive activities. References to “diving” on this form encompass both recreational scuba diving and freediving.

This form is principally designed as an initial medical screen for new divers, but is also appropriate for divers taking continuing education. For your safety, and that of others who may dive with you, answer all questions honestly.


Instructions

Complete this questionnaire as a prerequisite to a recreational scuba diving or freediving course.

Note to women: If you are pregnant, or attempting to become pregnant, do not dive.

1- I have had lung/respiratory, heart, blood problems

Thoracic surgery, heart surgery, heart valve surgery, stenting or pneumothorax (collapsed lung)

Asthma, wheezing, severe allergies, hay fever or congested airways in the past 12 months that limit my physical activity/exercise

A problem or disease affecting my heart such as angina, exertional chest pain, heart failure, immersion pulmonary edema, heart attack or stroke, or I am taking medication for any heart condition

Recurrent bronchitis and current cough within the last 12 months, or I have been diagnosed with emphysema


2- I am over 45 years old

I smoke or inhale nicotine by other means

I have high cholesterol

I have high blood pressure

I had a close relative die suddenly or from heart disease or stroke before age 50, or: I have a family history of heart disease before age 50 (including heart rhythm disorders, coronary artery disease or cardiomyopathy)


3- I have difficulty making moderate physical efforts (for example, walking 2 km in 15 minutes or swimming 200 meters without resting), or: I have not been able to participate in normal physical activity due to fitness or health reasons for 12 months.


4- I had problems with my eyes, ears, nasal passages or sinuses.

Sinus surgery within the last 6 months

Sinus surgery within the last 6 months

Recurrent sinusitis within the last 12 months

Eye surgery within the last 3 months


5- I have had surgery in the past 12 months; or: I have chronic problems related to a previous surgery.


6- I have fainted, had migraines, seizures, stroke, major head injury or persistent neurological damage or disease.

A head injury with loss of consciousness within the last 5 years

A persistent neurological injury or disease

Recurrent migraines in the last 12 months, or: I take medication to prevent them

Fainting spells, blackouts or fainting spells (total or partial loss of consciousness) within the last 5 years

Epilepsy, or seizures, or I take medication to prevent them


7- I am currently undergoing treatment (or have required treatment in the past five years) for psychological problems, personality disorders, panic attacks, or drug or alcohol dependency; or, I have been diagnosed with a learning disability.

Behavioral, mental or psychological problems requiring medical and/or psychiatric treatment

Major depression, suicidal ideation, panic attacks, uncontrolled bipolar disorder requiring medication or psychiatric treatment

A diagnosis of a mental health problem or a learning or developmental disability that requires ongoing care

Drug or alcohol dependency requiring treatment within the past 5 years


8- I have had back problems, hernia, ulcers and diabetes.

Recurring back problems over the past 6 months that limit my daily activity

Back or spine surgery within the last 12 months

Diabetes, controlled by medication or diet, or gestational diabetes within the past 12 months

An uncorrected hernia that limits my physical abilities

Active or untreated skin ulcers, chronic wounds or ulcer surgery within the past 6 months


9- I have had stomach or bowel problems, including recent diarrhea.

Ostomy surgery (gastrostomy, colostomy or nephrostomy) without already having medical clearance for swimming or physical activities

Dehydration requiring medical intervention within the last 7 days

Active or untreated gastric or intestinal ulcers, or surgical treatment of such ulcers within the past 6 months

Frequent heartburn, regurgitation or gastroesophageal reflux disease (GERD)

Active or uncontrolled ulcerative colitis, or Crohn's disease

One bariatric surgery in the last 12 months


10- I am taking prescription medication (except for contraceptives or antimalarials other than mefloquine (Lariam).

Participant's signature

If you answered No to all 10 questions above, a medical evaluation is not required. Please read and agree to the participant statement below by signing and dating it.

Participant Declaration: I have answered all questions truthfully and understand that I accept responsibility for the consequences resulting from any question I answered inaccurately, or from my failure to disclose any existing or past health problems.

If you answered YES to questions 3, 5 or 10 above OR to any of the questions on page 2,

  • Please read, sign and date the above statement
  • A medical certificate less than one year old is required.
    Participation in the dives requires the approval of your physician.

Signature of the participant (or, if a minor, participant's parent/guardian signature required) - Please press save before you submit the form SaveClear

1 + 4 =